Clinic
Southfield Dental Care P.C.
Southfield Dental Care P.C. was paid $43K by Medicaid between Jan 2018 and Jul 2018, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoSOUTHFIELD DENTAL CARE P.C.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
33aNPI1417206947assigned 08/30/2012
33bProvider typeDental Clinic/Center
28Total paid$43K
24GClaims2,162
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#178 of 431
Median peer was paid$24K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,162 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 176 | 119 | $8K |
| D1110 | Prophylaxis - adult | 16% | 279 | 276 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 118 | 69 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 256 | 255 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 127 | 127 | $4K |
| D4355 | 8.0% | 111 | 111 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 7.3% | 191 | 190 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 159 | 157 | $3K |
| D0274 | Bitewings - four radiographic images | 4.6% | 133 | 131 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 61 | 17 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 290 | 281 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 216 | 167 | $864.35 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHAMAMA, SHAMS (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Professional Dental Alliance of Michigan, LLC | Richmond, MI | $4.25M |
| Professional Dental Alliance of Michigan, LLC | Livonia, MI | $3.56M |
| Professional Dental Alliance of Michigan,llc | Warren, MI | $3.19M |
| Amazing Dental Wyandotte PLLC | Wyandotte, MI | $2.93M |
| Professional Dental Alliance of Michigan, LLC | Saint Clair Shores, MI | $2.77M |
| Sterling Heights Dental Care P.C. | Sterling Heights, MI | $1.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.